1. Insert local logo here

2. Practical Tools for Point-of- Dispensing Site Training and Client Communication APC Road Show Orlando FL July 2009

3. Who we are Cambridge Materials Pictograms Dispensing Site Planning Trainings for Dispensing Sites Personal Preparedness Upcoming Materials

4. Getting to know you How prepared is your general population? Who are your vulnerable populations? What methods do you use for dispensing sites?

5. Cambridge APC Multi-disciplinary team Continual engagement in –Assessment of preparedness needs and gaps –Generation of solutions for local public health –Promotion of APC program and products Utilizing learning laboratory

6. Massachusetts Public Health Emergency Preparedness Regions

8. PHP Region 4b Community Characteristics Population of communities range from 7,261 to 101, 355 residents Great diversity in local government structures Public health departments range from 2 to 63 full time employees

9. Local Preparedness Planning Realities Federal/state mandates for local public health emergency response planning Limited capacity and training of local public health departments

10. Cambridge APC Products Regional Dispensing Sites –Planning –Communication Tools –Trainings Evaluation Mutual Aid for Public Health Model legislation for regionalization Regional Epidemiology

11. Who we are Cambridge Materials Dispensing Site Planning Trainings for Dispensing Sites Personal Preparedness Upcoming Materials

12. Prepare Clients for POD Experience Information: What will happen How will it happen What they will be asked Delivery: Perceive Understand Personally Applicable

13. Identify the groups within the at- risk population with special needs Determine resources available/needed to serve these groups Initiate the special populations plan Special Effort for Special Populations

14. Population Vulnerability Physical disability Cognitive disability Language barrier (e.g., English, literacy) Conditional impairments –Mental noise –Environmental barriers –Trust –Knowledge barriers

15. A Preparedness Paradigm Shift 1.Many will be vulnerable in an emergency 2.Specialized services deters those with special needs 3.Specialized preparedness is unsustainable for local health Access Umbrella

16. Universal Design in Our Lives Source: http://www.design.ncsuedu/cud/about_ud/udprincipleshtmlformat.html#top

17. Making Dispensing Sites Universally Accessible Physically accessible Information to communicate to many Information to exchange interpersonally

18. Universal De-SIGN Communicate through trusted sources Identify station purpose with a picture Simple one-word station description Provide language translation

19. Mass Communication: Signage Outlines Service & Process information Identifies station purpose Improves efficiency Decreases anxiety Expands usability Increases access to service

21. Pocket Communicator Worker to client Internal communication tool Clerical & clinical functions Does not replace other forms of communication

22. Language Barriers Identifies barriers early Provides client with visual reassurance Affords easier access to translation

23. Provide Directions Please go to the blue Children area.

24. Key Concepts

25. Cambridge APC Sign Requests

26. Who are we? Dispensing Site Planning Pictogram Development Trainings for Dispensing Sites Personal Preparedness Future Products

27. Behavioral Health? Mental Health Counseling Behavioral Health Support

28. Children – before

29. Children – after

30. Who are we? Dispensing Site Planning Pictogram Development Trainings for Dispensing Sites Personal Preparedness Future Products

31. Session 1 The Mechanics

32. Lesson Framework

33. Goal & Objectives Knowledge –Job Action Sheets –Incident Command/Management Principles –Fundamental Tasks Skills –Serving clients with varying language, physical, and cognitive abilities Teamwork

37. Session 2: Facilitating Clients

38. Lesson Framework

42. Training Outcomes Knowledge Skills Teamwork

43. Training Resources Trainer guide Training materials Evaluation tools

44. Who are we? Dispensing Site Planning Pictogram Development POD Trainings Personal Preparedness Future Products

45. Accessible Personal Preparedness

49. Who are we? Dispensing Site Planning Pictogram Development Trainings for Dispensing Sites Personal Preparedness Future Products

50. Cambridge APC Tools in development MAVEN Exercise Evaluation Training Epidemiology Just in Time Training Health Data Reports Tool Alternate Care Site Signs Decontamination Unit Signs Product Recall tool

51. Communicating Recalls Differently Cambridge Advanced Practice Center for Public Health Preparedness kdunnell@challiance.org

52. It started with toothpaste.. Recall of toothpaste product Cambridge Public Health mobilizes inspectors Toothpaste sold in non-English speaking markets Toothpaste being purchased and sent home to Haiti and Latin America

53. Response Cambridge Public Health first issued a press release

54. 119 Windsor St. Ground Level Cambridge, MA 02139 617.665.3800 Fax 617.665.3888 For Immediate ReleaseContact: Susan Feinberg, MPH June 20, 2007Communications Specialist Cambridge Public Health Dept. 617-665-3833 FDA Issues Toothpaste Warning The U.S. Food & Drug Administration has issued two warnings this month about certain toothpastes manufactured in China and South Africa that may contain a toxic chemical called diethylene glycol (DEG).U.S. Food & Drug Administration In the U.S., these products are typically being sold at "dollar-type" discount stores, convenience stores, and small food markets. Suspect tubes of toothpaste have reportedly been found in Somerville and Sturbridge, as well as in New York, New Jersey, Pennsylvania, Maryland, and Florida. As of June 8, there were no U.S. reports of poisonings from toothpaste containing DEG. The chemical, which is commonly found in antifreeze, is sometimes used illegally as an inexpensive sweetener and thickening agent. Cambridge residents should throw away or return to the store for refund: 1) Any toothpaste labeled as "Made in China.""Made in China." 2) Any fake Colgate toothpaste, which is:fake Colgate toothpaste Labeled as "Manufactured in South Africa" A 5-oz. or 100 ml tube Contains misspelled words on the label, including "South African Dental Assoxiation," "SOUTH AFRLCA, and "isclinically" 119 Windsor St. Ground Level Cambridge, MA 02139 617.665.3800 Fax 617.665.3888

55. Implementation Translation challenges arose Someone asked about pictograms Cambridge tried something different…

57. Product Recalls- What we know now

58. Current state Food recalls impact all communities Current communication of recall information is targeted to media outlets Translation and communication are resource intensive Local health departments are challenged to provide timely information to constituents in accessible formats

59. Other Countries Requirements Vendor must advertise recall in newspaper Format and size are by regulation This border is a universal recall symbol in Australia

62. Cambridge APC Proposal A readily usable tool to create simple & effective communication material for recalls

63. Cambridge APC Proposal - How Build upon successful use of pictograms for Dispensing Sites Develop pictograms for food recalls Develop food recall flyer template Include instructions on pulling information from FDA press releases Include pictogram images for use in template

64. Cambridge APC Proposal What would this look like?

68. Discussion

69. Contact Information Kerry Dunnell kdunnell@challiance.org